| East Bay Center, Inc. | |
|
2 Old County Rd Barrington RI 02806-1602 | |
| (401) 437-8844 | |
| (401) 437-8847 |
| Full Name | East Bay Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2 Old County Rd, Barrington, Rhode Island |
| Authorized Official Name and Position | Robert A. Crossley (CHIEF EXECUTIVE OFFICERF) |
| Authorized Official Contact | 4014378844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Center, Inc. 2 Old County Rd Barrington RI 02806-1602 Ph: (401) 437-8844 | East Bay Center, Inc. 2 Old County Rd Barrington RI 02806-1602 Ph: (401) 437-8844 |
| NPI Number | 1669428348 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 11/04/2010 |
| Medicare PECOS PAC ID | 5294622825 |
|---|---|
| Medicare Enrollment ID | O20040301000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669428348 | NPI | - | NPPES |
| 29206-5 | Other | RI | BCBSRI |
| 23501 | Other | RI | UBH |
| BCG0001107 | Other | RI | BCBSRI |
| CPG0001107 | Other | RI | BCBSRI |
| 1016900 | Other | RI | NHPRI |
| 900-1872 | Medicaid | RI | |
| 30738-9 | Other | RI | BCBSRI |
| 408215 | Other | RI | BCBSRI |
| 410862 | Other | RI | BCBSRI |
| 412121 | Other | RI | BCBSRI |
| 84-60036 | Other | RI | UBH |
| EB02290 | Medicaid | RI | |
| 6963 | Other | RI | BCBSRI |
| Provider Name | Amy L Lagasse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790926152 PECOS PAC ID: 1658557194 Enrollment ID: I20110517000542 |
| Provider Name | Edward B Rush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699911750 PECOS PAC ID: 8022270735 Enrollment ID: I20120425000535 |
| Provider Name | Kimberly S Epler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992087480 PECOS PAC ID: 9638489263 Enrollment ID: I20151110002015 |
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